Complementary and Alternative Medicine: Fair, Balanced, and to the Point

About this web log

This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

About the author

John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

Common sense considerations

The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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Archive for September, 2006

It’s not merely a matter of “the more the merrier” for therapeutic probiotic bacteria.

Preliminary evidence reported here and here supports the value of the probiotics Bifidobacterium infantis 35624 in treating irritable bowel syndrome (IBS). Now, a study in more than 350 women with IBS reports that the dose of B infantis 35624 has an effect on the ability to improve symptoms.

The international trend toward using a simpler “traffic light” nutrient labeling system was discussed here earlier. It tells consumers at a glance if food contains high (red), medium (orange), or low (green) levels of sugar, salt, fat, and saturated fat.

Now, a survey of 200 people in the November issue of the American Journal of Preventive Medicine shows just how much the current system needs to be overhauled.

This blog has chronicled the lipid-lowering effects of policosanol, which lowers LDL (bad) cholesterol levels by 20% to 30%. Its mechanism of action differs from statins. However, it’s close enough that for safety, I would be cautious taking policosanol and a statin at the same time. One-A-Day Cholesterol Plus contains policosanol.

Now, a new study reports that policosanol has a positive effect on recovery in patients with ischemic stroke. This might be an overstatement, but let’s take a closer look.

A side effect of treatment with antipsychotic drugs is increased weight, which leads many patients to stop taking their medicine. In fact, up to 80% of patients on antipsychotic medication gain a significant amount of weight.

Now, a study shows that early behavioral intervention prevents much of the weight gain associated with antipsychotic drug therapy.

The movement to ban trans fats in restaurants and fast food outlets picked up more support earlier this week. The New York City Board of Health voted to move forward with plans to prohibit the city’s 20,000 restaurants from serving food that contains more than a minute amount of trans fats.

The next steps are a public hearing on October 30th and a final vote in December. The board is authorized to adopt the plan without the consent of any other agency. So, it’s likely that life in NYC will be come a bit healthier by 2007.

A project to better scrutinize and challenge claims made by manufacturers of supplements has been started by the Council for Responsible Nutrition (CRN) and the National Advertising Division of the Council of Better Business Bureaus (NAD).

CRN and NAD will “address not only comparative advertising claims among makers of dietary supplements, but also substantive claims that are deceptive or misleading and clearly go beyond what’s supported by research.”

Could be good depending on how they define going “beyond what’s supported by research.”

Every time I turn around, another agency is warning its constituents to beware of black cohosh.

Japan’s Ministry of Health, Labour and Welfare has now issued a warning to Japanese users of black cohosh. While there are no actual examples of the herb causing health problems in Japan, care should be exercised regarding its intake.

The risk of liver toxicity with black cohosh was reviewed here in an earlier post.

Medscape just published an article on the benefits of lowering triglycerides, and the use of omega-3 fatty acids. Read it if you’re so inclined, or if you’re an MD and need the continuing education credits. If not, here’s the take-home info.

When your leg veins can’t pump enough blood back to your heart, you have chronic venous insufficiency (CVI). Today, standardized horse chestnut seed extract (HCSE) is a well-established treatment for CVI and edema. It’s a common ingredient in lotions, creams, massage oils, and other skin care products, often in combination with other herbal ingredients.

Vasomotor symptoms can be extreme in patients with breast cancer or prostate cancer who are undergoing anticancer therapy. At the Royal Marsden Hospital in the U.K., an audit of 159 patients experiencing an average of 16 flushes per day revealed that self-acupuncture is associated with long-term relief of vasomotor symptoms in cancer patients.

Acupuncture is expensive, but self-acupuncture might offer an effective treatment alternative. A retrospective audit of patients in the U.K. with chronic pain who were taught self-acupuncture as a home pain management strategy has been published. Each patient had responded to acupuncture previously and been taught self-acupuncture successfully using three acupuncture points (LI4, ST44, LR3).

There is a general perception that it is not worth the effort to make changes in diet in order to control hypercholesterolemia. Any changes that occur due to an improved diet are minor compared to what can be accomplished by taking cholesterol-lowering drugs.

So, just take the pill(s)!

But that?s not true, and a study from several years ago illustrates the point.